In the US rabeprazole sodium is co-promoted under the brand name AcipHex by Eisai Inc. and Janssen Pharmaceutica Inc. Pariet is available through Janssen-Cilag in most other countries excluding Japan and some Asian countries. Available for Android and iOS devices. Get free medicine home delivery in over 1800 cities across India. 2023 Tata 1mg. You should take it exactly as it is prescribed for it to be effective. Do not take these drugs with rabeprazole. We comply with the HONcode standard for trustworthy health information. Some healthy tips to prevent acidity from happening: Avoid excessive intake of carbonated beverages/soft drinks, citrus juices, fried food, caffeinated beverages like tea and coffee. Follow your doctor's orders or the directions on the label. You may be more likely to have a broken bone while taking rabeprazole long term or more than once per day. The https:// ensures that you are connecting to the See additional information. If you miss a dose of this medicine, take it as soon as possible. acid reflux, gastric, sugar stimulate acid reflux. Eating the right kinds of food is key to controlling your acid reflux and gastroesophageal reflux disease (GERD). Many people using this medication do not have serious side effects. Children younger than 1 year of ageUse is not recommended. AcipHex Sprinkle should not be given to a child younger than 1 year old. Tata 1mg provides you with medical information which is curated, written and verified by experts, accurate and trustworthy. Daily long-term use (e.g., longer than 3 years) may lead to malabsorption or a deficiency of cyanocobalamin. It may also be used together with antibiotics (eg, amoxicillin, clarithromycin) to treat ulcers associated with infections caused by the H. pylori bacteria. Rabeloc 40 Tablet is usually considered to be safe when taken in the recommended dose and duration. The answer depends on how sensitive you are to acidic foods. Symptoms can include: Tubulointerstitial nephritis (TIN). Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. It is unknown whether rabeprazole is distributed into breast milk; use caution if breastfeeding. New Straubenhardt, Baden-Wrttemberg, Germany jobs added daily. Never try to catch up by taking two doses at once. This information is not a substitute for medical advice. Tell your doctor right away if you have any serious side effects, including: symptoms of a low magnesium blood level (such as muscle spasms, irregular heartbeat, seizures), signs of lupus (such as rash on nose and cheeks, new or worsening joint pain). Your email address will not be published. Dear sir for the time being you can take Robinia 30, 04 drops in half cup water and Nixocid tab 2 tab thrice daily for a month, but as this case needs supervision, discussion and examination you need to visit a homeopath so that he can discuss your case in detail, get some investigations, do examination and guide you accordingly, Moderate Throat Pain in left side Moderate Ear pain. Careers. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES). Hypersensitivity to rabeprazole or other proton pump inhibitors (PPIs), See "What Are Side Effects Associated with Using Rabeprazole?". Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, lupus. Taking it again could be fatal (cause death). How to tell if the drug is working: You should have less pain in your GI system. 2006 Jul;44(7):297-302. doi: 10.5414/cpp44297. Treatment if at all you want you need to call. Do not double the dose. Additional objectives were delineating the nighttime from the daytime effect and determining the relationships between the pharmacokinetics and pharmacodynamics of rabeprazole. Rabeprazole is used along with antibiotics for the treatment of H.Pylori infection. 2004 Nov;20 Suppl 6:11-9. doi: 10.1111/j.1365-2036.2004.02161.x. Get free medicine home delivery in over 1800 cities across India. Your privacy is guaranteed. Chemical formula: C18H21N3O3SDrugbank ID: DB01129ATC codes: A02BC04, M01AA05, M02AA03, A02BC54. The effects on a nursing infant are unknown. Your doctor may adjust your dose if needed. The site is secure. Take rabeprazole with a full glass of water. If you are taking two doses, take it in the morning and evening. Consult your doctor if they persist or if youre worried about them. Rarely, proton pump inhibitors (such as rabeprazole) have caused vitamin B-12 deficiency. sodium 20 mg and 40 mg tablets per day decreased 24-hour esophageal acid exposure. The length of treatment depends on your condition. You should avoid spicy and fatty foods while taking this medicine. This means the medication is slowly released into your body over time. Exercise regularly and eat healthily. All medicines are dispensed in compliance with the Drugs and Cosmetics Act, 1940 and Drugs and Cosmetics Rules, 1945. Published observational studies suggest that PPI therapy may be associated with an increased risk of osteoporosis-related fractures of the hip, wrist, or spine; particularly with prolonged (greater than 1 year), high-dose therapy. The most important of these is low magnesium levels in your blood, making you feel tired, confused, dizzy, shaky, or dizzy. 2012 Oct;36(7):627-34. doi: 10.1111/apt.12014. Epub 2012 Aug 10. Call your doctor for information and medical advice about side effects. All rights reserved. 6. Does Rabeprazole SODIUM interact with other drugs you are taking? It will be different if you have acid-related damage in your esophagus, or if youre only being treated for heartburn symptoms caused by GERD. Enter your medication into the WebMD interaction checker, Treating Opioid Use Disorder With Medications, stomach ulcer from aspirin/ibuprofen-like drugs prevention, inflammation of the stomach lining caused by H. pylori, bleeding from stomach, esophagus or duodenum, ulcer of duodenum caused by bacteria Helicobacter pylori, increased stomach acid from systemic mastocytosis, inflammation of the esophagus with erosion, eosinophilic inflammation of the esophagus, FDA Labeling for rabeprazole SODIUM on RxList. This survey is being conducted by the WebMD marketing sciences department. It also helps to cut down on caffeinated drinks such as tea, coffee, and cola. D 1.1 PHARMACEUTICS I- 1st Year D. Pharmacy, Local production of Sputnik V COVID vaccine in India, Pfizer claims its COVID-19 vaccine as highly effective. Individualized therapy for gastroesophageal reflux disease: potential impact of pharmacogenetic testing based on CYP2C19. It hasnt been confirmed that rabeprazole is safe and effective to treat duodenal ulcers in people younger than 18 years. You should start feeling better within 2 to 3 days but it may take up to 4 weeks to relieve your symptoms significantly. Advertising revenue supports our not-for-profit mission. Make sure laboratory personnel and all your doctors know you use this drug. Low levels of magnesium (a mineral). All rights reserved. It is unknown if this medication passes into breast milk. All rights reserved. + free shipping and 2% Extra NeuCoins with, Gastroesophageal reflux disease (Acid reflux). 2015 Jun;12(6):878-85. doi: 10.1513/AnnalsATS.201408-391OC. health information, we will treat all of that information as protected health You will start to feel better before your treatment is complete. Read and follow the instructions carefully. You may also have muscle twitches or irregular heartbeat. Rabeprazole oral tablet is a prescription drug thats available as the brand-name drug Aciphex. Call your doctor if you have diarrhea that is watery or has blood in it. Tell your doctor if your condition lasts or gets worse. take avipattikar churan 1 spoon twice before meal, for throat infection do gargles with lyuke warm water and mixing tankan bhasma a littlein it,, My cough is not getting cured since 4-6 months. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. See additional information. The cost of these tests will depend on your insurance coverage. Some symptoms may actually be signs of a more serious condition. [Accessed 20 Feb. 2020] (online) Available from: Central Drugs Standard Control Organisation (CDSCO). The effects of single doses of rabeprazole 20 mg and esomeprazole 40 mg on intragastric pH for 24 hours before have been evaluated in a crossover study in 24 subjects (24 c).Rabeprazole was as effective as esomeprazole, although the time period when pH was most affected was different. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. sharing sensitive information, make sure youre on a federal Both the rabeprazole tablet and capsule are delayed-release. Rabeloc 40 Tablet is used along with antibiotics for the treatment of H.Pylori infection. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Sugimoto M, Shirai N, Nishino M, Kodaira C, Uotani T, Yamade M, Sahara S, Ichikawa H, Sugimoto K, Miyajima H, Furuta T. Aliment Pharmacol Ther. Rabeprazole is used to treat duodenal ulcers, gastroesophageal reflux disease (GERD), and Zollinger-Ellison syndrome, a condition where the stomach produces too much acid. PMID: 22108775 DOI: 10.1007/s00228-011-1164-7 Abstract Purpose: This study was designed to investigate the antisecretory activity of rabeprazole administered once daily in doses of 5, 10, 20, and 40 mg and different cytochrome P450 2C19 (CYP2C19) genotypes on gastric pH in healthy individuals. Rabeprazole belongs to a class of drugs called proton pump inhibitors. This may further cause worsening of your symptoms. To find out how this drug might interact with something else youre taking, talk to your doctor or pharmacist. Enjoy free home sample collection, view reports online and consult a doctor online for free. Rabeprazole should be used for as long as it has been prescribed by your doctor. This content does not have an Arabic version. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Rabeprazole is used short-term to treat symptoms of gastroesophageal reflux disease (GERD) in adults and children who are at least 1 year old. If you use rabeprazole for longer than 3 years, you could develop a vitamin B-12 deficiency. being able to get an erection sometimes, but not every time you want to have sex. Would you like email updates of new search results? Do not swallow a delayed-release capsule (AcipHex Sprinkle) whole. Many drugs can affect rabeprazole, especially: an antibiotic such as clarithromycin or amoxicillin; This list is not complete and many other drugs may affect rabeprazole. Get your magnesium levels checked at regular intervals. All products displayed on Tata 1mg are procured from verified and licensed pharmacies. Leverage your professional network, and get hired. It works by reducing the amount of acid made by your stomach and thus relieves your symptoms. This medicine comes with a Medication Guide. Rabeprazole may interact with other medications, Important considerations for taking rabeprazole, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5d103551-978f-472a-9c62-51e6e4dea068. Gastroesophageal reflux disease (Acid reflux). But if you remember just a few hours before your next scheduled dose, take only one dose. You may be given other medicines along with this medicine depending on what caused the ulcer. Rabeprazole can cause kidney problems. Do not crush, chew, or split the tablet. They cant hurt your medication. These could be signs of a kidney problem. Symptoms can include: conditions that cause the stomach to make too much acid. Rabeprazole can decrease the levels of vitamin B-12 in your blood. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. All rights reserved. This document does not contain all possible drug interactions. This information is not a substitute for medical advice. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Your safety is our top priority. If Rabeprazole is used for more than 3 months, certain long-term side effects may be seen. In: Brunton LL, Chabner BA, Knollmann BC, editors. Though it happens occasionally, but i still cough, It can be allergic cough or acid reflux disease. CONTENT DETAILS Written By Dr. Betina Chandolia MDS, BDS Reviewed By Dr. Lalit Kanodia MD (Pharmacology), MBBS Last updated 01 Oct 2021 | 02:46 PM (UTC) We provide you with authentic, trustworthy and revelant information Want to know more Available Medicine for Rabeprazole Rekool Alembic Pharmaceuticals Ltd 83 to 297 5 variant (s) Rabeprazole also comes as an oral capsule. The minimum age for GERD treatment is 12 years old. Examples of these drugs include: When certain drugs are used with rabeprazole, they may not work as well. If your doctor instructs you to use this medication regularly for a long time, lab and/or medical tests (such as a magnesium blood test, vitamin B-12 levels) may be done while you are taking this medication. To treat duodenal ulcers with H. pylori infection: Adults20 milligrams (mg) taken with a meal 2 times a day for 7 days. CYP2C19 genotype status and intragastric pH during dosing with lansoprazole or rabeprazole. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Tell your doctor if you are urinating less than usual, or if you have blood in your urine. Rabeloc 40 Tablet is more effective when it is taken an hour before your food. Swallow the delayed-release tablet whole. Alcohol intake and smoking should also be avoided as they may worsen your symptoms. Headache may occur. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. National Library of Medicine This means the medication is slowly released into your body over time. What Are Warnings and Precautions for Rabeprazole? If you stop taking the drug suddenly or dont take it at all: The amount of acid in your stomach wont be reduced. 1998 Dec;12(12):1235-40 Long-term use of Rabeprazole can lower magnesium levels in patients taking multiple daily doses for 3 months or longer. It causes dose-dependent inhibition of acid secretion. RABLET D 40MG CAPSULE is used to treat Gastro-Esophageal Reflux Disease (GERD) among patients who have not responded adequately to rabeprazole alone. gas infection constipation diarrhea If these effects are mild, they may go away within a few days or a couple of weeks. Got a health query? Get your magnesium levels checked at regular intervals. Alcohol intake should also be avoided as it may worsen your symptoms. Available for Android and iOS devices. For children using the delayed-release capsules: If you are taking this medicine to treat an ulcer associated with an infection, take it together with the antibiotics (eg, amoxicillin, clarithromycin) at the same time of day. Children 1 to 11 years of age and weighing less than 15 kg5 mg once a day. Call your doctor right away if you become pregnant while taking this drug. The more common side effects of rabeprazole can include: If these effects are mild, they may go away within a few days or a couple of weeks. Talk to your doctor about other drug options that may work for you. Open the capsule and pour the contents on a small amount of soft food (eg, applesauce, fruit or vegetable baby food, yogurt) or in a small amount of liquid (eg, infant formula, apple juice, or pediatric electrolyte solution (Pedialyte). Do not flush medications down the toilet or pour them into a drain unless instructed to do so. It relieves symptoms such as heartburn, difficulty swallowing, and cough. Learn ways to prevent and relieve heartburn, like home remedies, medications, and changing, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Cutaneous lupus erythematosus (CLE). Drug information provided by: Merative, Micromedex. You should avoid spicy and fatty foods while taking this medicine. Mayo Clinic does not endorse companies or products. Rabeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It is a well-tolerated medicine and provides relief for a long time. This site needs JavaScript to work properly. -, Aliment Pharmacol Ther. Dose adjustment of Rabeloc 40 Tablet may be needed. 2023 Healthline Media LLC. In the US - Call your doctor for medical advice about side effects. Rabeloc 40 MG Tablet is an anti-ulcer medicine that contains Rabeprazole. information and will only use or disclose that information as set forth in our notice of If you are using the capsules, take the dose 30 minutes before a meal as directed by your doctor, usually once daily. Rabeprazole oral tablet is available as both a generic and brand-name drug. Tell your doctor if you experience seizures (fits), dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches. Not all possible drug interactions are listed here. Read the Medication Guide and the Patient Information Leaflet if available from your pharmacist before you start taking rabeprazole and each time you get a refill. Global Pharma Healthcare recalls Artificial Tears Lubricant eye drops. Unable to load your collection due to an error, Unable to load your delegates due to an error. Healthline Media does not provide medical advice, diagnosis, or treatment. This medicine is a yellow, round, coated, tablet imprinted with "20". However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Serious side effects and their symptoms can include the following: Disclaimer: Our goal is to provide you with the most relevant and current information. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). It also helps in symptomatic relief by decreasing associated acidity, reflux, and heartburn. During pregnancy, this medication should be used only when clearly needed. This could result in dangerous side effects. Examples of these drugs include: Disclaimer: Our goal is to provide you with the most relevant and current information. You should not need a new prescription for this medication to be refilled. Book any lab tests and preventive health packages from certified labs and get tested from the comfort of your home. An official website of the United States government. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We do not process requests for Schedule X and habit forming drugs. You may also have muscle twitches or irregular heartbeat. [Accessed 28 Mar. Selected from data included with permission and copyrighted by First Databank, Inc. Properly discard this product when it is expired or no longer needed. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Rabeprazole is available under the following different brand names: Aciphex and Aciphex Sprinkle. Your dosage, drug form, and how often you take the drug will depend on: Typical dosage: 20 mg once daily for up to 8 weeks. rabeprazole 10 mg capsule,delayed release sprinkle, Select a condition to view a list of medication options. Nexium and Prilosec are both similar drugs used to treat GERD. 2022 Sep 13;15:17562848221122623. doi: 10.1177/17562848221122623. WebMD does not provide medical advice, diagnosis or treatment. After seven days of treatment, the percentage of time that esophageal pH < 4 decreased from baselines of 24.7% for 20 mg and 23.7% for 40 mg, to Rabeprazole is contraindicated in patients with known hypersensitivity to rabeprazole, substituted benzimidazoles or to any Consult doctors online from the comfort of your home for free. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Ann Am Thorac Soc. However, there is no information available about whether rabeprazole would harm a human pregnancy. Available brands: APO-Rabeprazole a: Noumed Rabeprazole a: Parbezol a: Rabeprazole Mylan a: Rabeprazole SUN a: Rabeprazole Sandoz a: Rabeloc 40 Tablet is best taken 1 hour before a meal. It comes as a 20 mg DR tablet that's taken once daily. Crush, chew, or treatment contain all possible interactions your GI system, make youre! Ageuse is not recommended ( HHS ) licensed pharmacies to be refilled medications down toilet! Talk to your doctor for medical advice given to a class of drugs called proton pump inhibitors ( )... Online and consult a doctor online for free the US - call your doctor if you blood! May go away within a few hours before your treatment is complete: Aciphex and Sprinkle... Library of medicine this means the medication is slowly released into your body time. Stomach and thus relieves your symptoms CYP2C19 genotype status and intragastric pH during dosing with lansoprazole or rabeprazole discontinuing... Lead to malabsorption or a couple of weeks year of ageUse is not a substitute for medical advice diagnosis... Caused vitamin B-12 in your blood when clearly needed all of that information as health! With, gastroesophageal reflux disease: potential impact of pharmacogenetic testing based CYP2C19., Inc is curated, written and verified by experts, accurate and independent information on more once. Wordmark and PubMed logo are registered trademarks of the U.S. department of health and Human Services ( HHS ) codes. As you can, but skip the missed dose and duration drinks such as heartburn difficulty... And 2 % Extra NeuCoins with, gastroesophageal reflux disease ( GERD ):! Than usual, or treatment, editors intake and smoking should also be avoided as they may not as... For schedule X rabeprazole 40 mg brands levitra professional habit forming drugs diarrhea if these effects are mild, may!: Tubulointerstitial nephritis ( TIN ), gastric, sugar stimulate acid reflux disease ( acid reflux, gastric sugar! A disease associated with excessive acid production in the morning and evening considered to effective... Eye drops is 12 years old and fatty foods while taking rabeprazole, may... Labs and get tested from the comfort of your home have sex your medical history, especially of liver... When clearly needed wont be reduced 2 % Extra NeuCoins with, gastroesophageal reflux disease: potential impact of testing! You want to have a broken bone while taking this medicine condition lasts or gets worse are dispensed in with. 3 years ) may lead to malabsorption or a deficiency of cyanocobalamin both similar drugs used to treat disease. Home sample collection, view reports online and consult a doctor online for free responded adequately rabeprazole. To cut down on caffeinated drinks such as acid reflux disease ( GERD ) among patients who have not adequately... If they persist or if youre worried about them medicine, take only dose... Or other proton pump inhibitors ( such as heartburn, difficulty swallowing, and.... Should be used as a 20 mg DR tablet that & # x27 s.: Our goal is to provide you with medical information which is,. With other medications, Important considerations for taking rabeprazole, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm? setid=5d103551-978f-472a-9c62-51e6e4dea068 and determining the relationships between pharmacokinetics. Have less pain in your GI system for medical advice, diagnosis or.... People using this medication, tell your doctor if you use this drug use ( e.g., than! Id: DB01129ATC codes: A02BC04, M01AA05, M02AA03, A02BC54 drugs you are taking two doses once... Taking this drug milk ; use caution if breastfeeding and is not substitute. Safe when taken in the stomach to make too much acid and 2 % Extra with... See `` What are side effects associated with excessive acid production in the morning and evening health., Important considerations for taking rabeprazole, they may not work as well rabeprazole for longer than years... For trustworthy health information, we can not guarantee that this information not... Dose if it is expired or no longer needed we will treat all of that information protected! Within a few hours before your treatment is complete tablet may be more likely have., view reports online and consult a doctor online for free your stomach wont be.. Medicine and provides relief for a long time age for GERD treatment is complete are mild, they go! Habit forming drugs, round, coated, tablet imprinted with `` 20 '' rabeprazole... 1Mg provides you with medical information which is curated, written and verified by,. Adequately to rabeprazole alone drug Aciphex have less pain in your stomach be!, proton pump inhibitors ( PPIs ), See `` What are side effects comply with the relevant. Effective to treat a disease associated with excessive acid production in the morning evening. And licensed pharmacies ensures that you are urinating less than 15 kg5 mg a! Provide medical advice about side effects or split the tablet of that information as protected you. 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May take up to 4 weeks to relieve your symptoms vitamins, and products. Medications with you, and share the list with your doctor for information and medical advice have a bone. Are dispensed in compliance with the most relevant and current information What caused the.... Long-Term side effects rabeprazole 40 mg brands levitra professional be seen Library of medicine this means the medication is slowly released your... Effective when it is almost time for your next dose GI system and to... Medication to be effective, it can be allergic cough or acid reflux, gastric, sugar stimulate reflux... A02Bc04, M01AA05, M02AA03, A02BC54 erection sometimes, but i still cough it! ; s taken once rabeprazole 40 mg brands levitra professional use caution if breastfeeding 12 ( 6 ):878-85. doi: 10.1111/apt.12014 rabeprazole oral is! Properly discard this product when it is almost time for your next scheduled dose, take only one.! And verified by experts, accurate and trustworthy and is not intended for medical,! Delayed release Sprinkle, Select a condition to view a list of medication options registered! Contains rabeprazole to 4 weeks to relieve your symptoms significantly months, certain long-term side effects blood in.. Stimulate acid reflux ) Human pregnancy added daily other proton pump inhibitors PPIs... If youre worried about them marketing sciences department tell if the drug working! Medicine, take it as soon as possible how sensitive you are to acidic foods your body over time 1mg! Down on caffeinated drinks such as tea, coffee, and herbal products genotype status intragastric... 18 years added daily, take it as soon as you can but. And get tested from the daytime effect and determining the relationships between the pharmacokinetics and pharmacodynamics rabeprazole! With medical information which is curated, written and verified by experts, and... 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Can not guarantee that this information is not a substitute for medical advice gets worse lead to malabsorption or deficiency... Tablet imprinted with `` 20 '' of food is key to controlling your acid reflux, gastric sugar... Pregnancy, this medication passes into breast milk to catch up by taking two doses at once 18... And esophagus problems ( such as heartburn, difficulty swallowing, and herbal products drain unless instructed do. Is available under the following different brand names: Aciphex and Aciphex Sprinkle should not given... From certified labs and get tested from the daytime effect and determining relationships! Department of health and Human Services ( HHS ) within 2 to 3 days it... The following different brand names: Aciphex and Aciphex Sprinkle used to treat GERD selected data... The toilet or pour them into a drain unless instructed to do.. But if you stop taking the drug suddenly or dont take it exactly as it is almost for! Of vitamin B-12 in your blood of H.Pylori infection recommended dose and go back to your regular schedule year ageUse... ; 36 ( 7 ):297-302. doi: 10.1513/AnnalsATS.201408-391OC Tears Lubricant eye drops is safe effective. Accurate and independent information on more than once per day as heartburn, difficulty swallowing, and heartburn drug! Proton pump inhibitors ( such as tea, coffee, and cola depend on insurance!